Jonathan Tarquinio, FNP
Family Medicine in New York, NY. Individual provider (NPI-1).
NPI number1083236830
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1083236830
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan Tarquinio
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 345664 | NY | Yes |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
Mailing address
345 Great Kills RdStaten Island, NY 10308-3514
Phone 718-490-5094
Other practice locations
675 3rd Ave Fl 5
New York, NY 10017-5731
New York, NY 10017-5731
Phone 212-204-5172
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